- NTT DATA North America (TX)
- …research the Coordination of Benefits (COB) for potential dual coverage by other health insurance companies for all subscribers, spouses, and affected dependents ... our team. Our Client is one of the leading Health Plans in the US providing services in multiple...researching the potential of dual coverage and determining which Insurance is primary. + Update Claims System… more
- Command Investigations (TN)
- …are compensatory to advanced, experienced, Investigators pay in the industry + 401(k) + Health Insurance : Medical, Dental, Vision + Paid time off + Paid Travel ... possible, setting the bar high for investigative excellence. Seeking experienced Insurance Fraud Investigators with commercial or personal lines experience, with… more
- Humana (Juneau, AK)
- …or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice ... management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + Experience with national guidelines such as… more
- Trinity Health (Davenport, IA)
- … health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial ... Work 100% Onsite in Davenport, Iowa for Training Only, and then Remote (Pay Range: $17.1538-$25.7307) Performs day-to-day billing and follow-up activities within the… more
- Community Health Systems (Franklin, TN)
- …or a related field preferred + 1-3 years of experience in denials management, insurance claims processing, or revenue cycle operations required + Experience in ... The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims , ensuring that appropriate appeals are submitted, and working closely with… more
- Sedgwick (Portland, OR)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Adjuster - Multiline ( Remote in Portland, OR) As an adjuster ... claims and maintain data integrity in the claims system. + Conduct claim file activities...dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health … more
- NTT DATA North America (Oklahoma City, OK)
- …We are seeking a dedicated Claims Case Manager to provide comprehensive claim servicing to our insurance policyholders. This role involves managing the ... HC and Insurance Operations Analyst to join our team. **Posisition:** ** Claims Case Manager** **This position is eligible for company benefits including medical,… more
- Sedgwick (Sacramento, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance General Executive Adjuster ( Remote in California with travel) As an ... losses, including handling accounting-based losses (business interruption and stock). + Examines claim forms and other records to determine insurance coverage. +… more
- Guidehouse (St. Paul, MN)
- …to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. **This position is 100% remote ** .Daily duties for this position ... None **Clearance Required** **:** None This position is fully remote **What You Will Do** **:** + Under the...needed + Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific… more
- Community Health Systems (Franklin, TN)
- …+ Strong understanding of medical collections processes, payer reimbursement policies, and insurance claim resolution. + Proficiency in electronic medical record ... I is responsible for performing collection follow-up on outstanding insurance balances, identifying claim issues, and ensuring...cycle operations. As a Collections Specialist I at Community Health Systems (CHS) - SSC Nashville, you'll play a… more